CIS for Buyers

AIMS GOLD FZC

Client Information Sheet / Know Your Client (CIS/KYC)

Clientsmust complete ALL relevant sections that apply to them in this form, and send via email together with all the documents that are requestedto in order to be able to process it.

This CIS/ KYC will become part of your contract. Our time is as valuable as yours, so please, only serious applicants who know that they need to pass all due diligence and compliance from our Legal Department, our Bank, and our Security Company, etc.that will all need to contact the Client’s country local authorities, UN offices and Interpol to complete their due diligence, in order to be able to do any transactions with us.

Thank you for your understanding and we are 100% certain that legitimate parties have nothing to be concerned about.

COMPANY INFORMATION
A1. / Name of Company
A2. / Type of Business Conducted
A3. / Business Address
A4. / Registered Office
A5. / Telephone, Cell & Fax Number
A6. / Do You Have Any Outstanding Judgments, Law Suits or Tax Liens?
A7. / Chamber of Commerce Name, Address and Registration Number
A8. / Employer Tax ID Number - EIN
A9. / Principal Structure of Business / Corporation Partnership Individual LLC
PRINCIPAL’S OR INDIVIDUAL’S INFORMATION
B1. / Principal Name
B2. / Nationality
B3. / Passport #(Please attach a clear color copy)
B4. / Expiration Date
B5. / City, Country of Issue
B6. / Date Of Birth
B7. / City, Country of Birth
B8. / Permanent Address
B9. / Primary Phone Number
B10. / Cell Number
B11. / Fax Number
B12. / E-mail Address
COMPANY OR INDIVIDUAL’S BANK INFORMATION
C1. / BANK NAME:
C2. / BANK ADDRESS:
C3. / BIC /SWIFT CODE:
C4. / BANK OFFICER:
C5. / BANK OFFICER TELEPHONE:
C6. / BANK OFFICER EMAIL:
C7. / BENEFICIARY NAME:
C8. / ACCOUNT SIGNATORY NAME:
C10. / IBAN NUMBER:
ADDITIONAL DOCUMENTATION REQUIRED

Please attach the following documents when submitting your application (Our Sales & Purchase Agreement (SPA) will not be issued until all documents below are received).

Please note that all documents MUST BE IN ENGLISH and must be duly signed and stamped originals or certified copies. In case they are in another language, please also submit their official translation from the Ministry of Foreign Affairs, by a Notary, by a Law Office or by any other official translator:

Company Gold BuyerApplicants: Corporate applicants must provide the following:

(Please tick the appropriate box below indicating that you are attaching the relative document)

I1. / / A Certificate of Incorporation or Organization
I2. / / Memorandum of Agreement confirming authorized principal(s).as signatory
I3. / / Copy of Chamber of Commerce Registration
I4. / / Copy of Tax Registration Number

Individual Gold Buyer Applicants: Individual applicants must supply the following:

(Please tick the appropriate box below indicating that you are attaching the relative document)

J1. / / Color Copy of Passport with the photo and the signature page
J2. / / National ID and Drivers License (if applicable)
ACCURACY AND AUTHORIZATION TO VERIFY INFORMATION

I personally represent and warrant, under penalty of perjury, that the information provided is true, accurate, complete and not misleading. Further, I warrant that I have the legal authority to sign on behalf of myself and/or the company referred herein. I agree to notify the Sellerif the information which has been supplied changes in any manner.

I also give my full consent and authority to AIMS GOLD FZC and all its representatives (Lawyers, Compliance Officers, Banks, etc.) to verify the information provided by contacting all relative Governmental Authorities, Banks, etc. in order to perform a full Due Diligence and Compliance check.

______

Signature & Company Stamp

Name of Authorized Signatory
Title
Date

Warning

Please be advised that as from 1st January 2010, we adhere to ICC measures with respect to the conduct of international transactions. If an ICPO is issued and the document is not honored by either the buyer or the seller, and or is issued fraudulently, we will take the appropriate legal action. The offending party will be reported to the FBI, ICC, and INTERPOL. This action is a criminal offence. Help to keep our industry free from controversy and assist in removing those who flout its laws.

This regulation came into effect on 15th November, 2008 following a meeting between the US Federal Reserve, European Central Bank, Interpol, US Federal Bureau of Investigation and the US Central Intelligence Agency.

US PATRIOT ACT CERTIFICATION

All information requested is in accordance with International Money Laundering Regulations and the US Patriot Act

In compliance with the Uniting and strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism (US Patriot Act of 2001) and other counter-terrorism laws. Client hereby certifies under penalty of perjury the following:

That all monies tendered or to be deposited in escrow by or on behalf of Client are from a source that is in compliance with all applicable United States of America anti-terrorist financing and asset control laws, statutes and executive orders, and
That all monies received by or on behalf of Client will be used by Client strictly in compliance with all applicable United States of America anti-terrorist and asset control laws, statutes and executive orders.

M1. / / I accept all above warnings and procedures

If you have any questions about this document, please do not hesitate to contact uspreferably via email or fax or postal mail

AIMS GOLD FZC

Burj Khalifa Tower, Suite 3312, P. O. Box 888906, Dubai, UAE Conakry, Guinea Gold Elution Plant – Mwanza, Tanzania

EMAIL: FAX (UK): +44 20 7681 1978 WEBSITE:

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All information submitted will be handled with strict confidentiality by our Company and our Consultants, Banks, Advisors, etc.